开腹胆囊切除术与小切口胆囊切除术治疗高龄胆囊结石患者疗效分析

COMPANING THE EFFECT OF OPEN CHOLECYSTECTOMY AND MINICHOLECYSTECTOMY IN TREATMENT OF GALLSTONE CHOLECYSTITIS IN ELD

目的:探讨开腹胆囊切除术与小切口胆囊切除术治疗高龄胆囊结石患者的疗效,选择最佳术式。方法:将40例高龄胆囊结石患者随机分成两组,传统开腹胆囊切除术(OC)组20例和小切口胆囊切除术(MC)组20例,比较观察两组病例手术时间、术中出血量、疼痛指数、肠功能恢复时间、并发症和住院时间等。结果:发现术中出血量及肠功能恢复时间和术后疼痛指数MC组较OC组明显减小(P<0.05),MC组手术时间较OC组延长(P<O.05),MC组术后并发症高,住院时间延长(P<0.05)。结论:常规的胆囊切除术在治疗高龄胆囊结石患者优于小切口胆囊切除术。

Objective：To Compare the effect of open cholecystectomy and minicholecystectomy in treatment of gallstone cholecystitis in eldres in order to choose the better one.Methods： 40 patients with gallstone cholecystitis were randomly divided inlo two groups,the OC group（20 cases）received open cholecystectomy,the MC group（20 cases）were treated with minicholecystectomy.The operation time,amount of bleeding during operation,pain index,recovery time of bowels,hospital stay,surgical complication of each group were observed.Results：The amount of bleeding during operation,pain index,recovery time of bowels of MC group were less than that of OC group（P〈0.05）,and the operation time,hospital stay,surgical complication of MC group were higher than OC group（P〈0.05）.Conclusion：OC is better than MC in Treatment of gallstone cholecystitis for elders.